Rundbaken, Craig Michael
Rundbaken, Craig Michael is an sole proprietor health care provider with primary practice located at 13830 W Camino Del Sol Ste 240 , Sun City West AZ 85375-4746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Rundbaken, Craig Michael can be contacted via phone (623) 975-0500.Contact Information
Primary practice address
13830 W Camino Del Sol Ste 240
Sun City West AZ 85375-4746
Phone: (623) 975-0500
Fax: (623) 975-0705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 3219 | Arizona |
Profile Details
NPI number | 1720072903 |
---|---|
LBN Legal business name | Rundbaken, Craig Michael |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 2nd, 2005 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720072903 | NPPES |
Arizona | MEDICAID | 391409 |
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